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Uro-gynecology combines urology and gynaecology, and this field is associated with female pelvic medicine and reconstructive surgery. Urogynecologists deal with the treatment of conditions in the pelvic floor or pelvic organ prolapse.
Conditions Treated in Uro-Gynecology
Many conditions are treated under Uro-Gynecology. These include faecal incontinence, Prolapse in Pelvic organs, overactive bladder, vaginal fistulas, weak muscles in the pelvic area etc. The treatment procedure continues after the Uro-gynecologist examines any of these conditions.
Treatment Procedures
Some of the treatment procedures applied in urogynecology are
Vaginal Pessaries
This treatment method is applied by inserting a medical device called pessaries into your vagina. This method is used to support your organs having the problem of prolapse. This device is available in different shapes and sizes and can be removed to clean it.
Pelvic Muscle Training
Kegel is an exercise that helps to solve the issues like prolapse. This exercise is done by squeezing and relaxing the muscle on the pelvic floor. Although exercise cannot cure completely, it can improve the symptom.
Surgery
The conditions in Uro-Gynecology can also be treated by surgical procedure. The surgical procedures include repairment of the vaginal wall, removal of the uterus, installation of bladder and surgery to control the bladder. Each surgical procedure has been described below:
Repairment of Vaginal Wall
You will be given general or spinal anaesthesia. Then the surgeon will make an incision in the front wall of your vagina. Your vagina will be folded, or a part will be cut away after moving the bladder to its previous location. The surgeon will stitch the tissue between the vagina and bladder to keep the walls of the vagina in the correct position. To know more, visit our obstetrics hospital in Hebbal, Bangalore.
The repairment of the vaginal wall is done when you cannot empty the bladder, feel full all the time, feel pressure in the vagina, and urine leakage occurs when you sneeze, cough, or lift a heavy weight.
Removal of Uterus
The procedure applied to remove the uterus is known as a hysterectomy. You may need to undergo the procedure when you have fibroids, heavy bleeding during the period, pelvic pain lasting too long, or gynecologic cancer.
There are three methods of performing a hysterectomy, which is as follows-
Laparoscopic hysterectomy,
Vaginal hysterectomy
Abdominal hysterectomy.
Laparoscopic hysterectomy involves inserting a laparoscope to take an image of the internal organs. After that, an instrument will be inserted through an incision to remove the uterus.
A vaginal hysterectomy is carried out by making an incision in the vagina. The uterus will be removed through the vagina after inserting an instrument to detach the uterus from the ligaments.
For an abdominal hysterectomy, an abdominal incision is required. Abdominal hysterectomy is advised when the uterus has expanded due to the fibroids, and removal through the vagina is impossible. Book an appointment to consult our experts.
Stimulation of Nerve
Stimulation of the nerve is almost similar to acupuncture. It helps in the treatment of an overactive bladder. A simulator is used to deliver electrical impulses as part of the treatment. The bladder muscle is strengthened as a result of this medical procedure. Wires inserted into the vagina are used to transmit electric impulses, and these electric impulses work to build up the bladder muscle.
With the help of this treatment for an overactive bladder, you can regulate the strong urge to pee. The nerve stimulation allows you to control the bladder's muscles.
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